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Register a new userStudy of Mechanical intestinal obstruction causes and methods of diagnosis in adults
دراسة أسباب الانسدادات المعوية الميكانيكية و طرق تشخيصها عند البالغين
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Added by
Tishreen University ورقة بحثية
Publication date
2016
fields
Medicine
and research's language is
العربية
Created by
Shamra Editor
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هدف البحث الى إجراء مقاربة إحصائية لأسباب انسداد الأمعاء الميكانيكي حسب تواردها و شيوعها, و تبيان أهمية التشخيص الباكر لها في تحسين نتائج التدبير. تضمنت عينة الدراسة 287 مريضاً بالغاً قبلوا في قسم الجراحة في مستشفى الأسد الجامعي باللاذقية بسبب انسداد معوي ميكانيكي, من بداية شهر كانون الثاني عام 2010 و لغاية نهاية آب عام 2015. كان عدد الذكور 186 مريضاً, بينما بلغ عدد الاناث 101 مريضة. وجد الانسداد الميكانيكي في الأمعاء الدقيقة لدى 253 مريضاً, بينما وجد في الأمعاء الغليظة لدى 34 مريضاً. تراوحت أعمار المرضى بين 21-88 سنة و كان نصف المرضى تقريباً في العقدين الثالث و الرابع من العمر. أهم عرض راجع به المرضى هو توقف خروج الغازات و الغائط و تكرر بنسبة 86.7% من الحالات, و كانت صورة البطن البسيطة بوضعية الوقوف أكثر الوسائل التشخيصية استخداماً, حيث أجريت عند حوالي 98% من المرضى. وجدنا أن معظم أسباب الانسداد المعوي الميكانيكي (73.51%) كانت بسبب الالتصاقات, تلتها الفتوق (12.19%), ثم الأورام (6.28%), أما بقية الأسباب كالانفتال و الانغلاف و داء كرون و التهاب الرتوج فقد بلغت مجتمعة (8%) من المرضى.
The research aims to make a statistical approach to the causes of mechanical intestinal obstruction by its incidence and demonstrating the importance of early diagnosis in improving the outcome of management. The study included 287 adults patient admitted in the department of surgery at ALASSAD University Hospital in Lattakia, due to mechanical intestinal obstruction, from the beginning of January 2010 until the end of August 2015.186 of patients were males and 101 were females. The obstruction was in the small bowel at 253 patients, while there were 34 cases in the large bowel. The patients ages were between 21-88 years and almost half of the patients were in their third and fourth decades of life. The most important symptom was stopping the release of gas and feces and was found in 86.7% of cases. The abdomen X-ray was the most diagnostic procedure we used, it was done for 98% of patients. Adhesions were the most common cause of intestinal obstruction (73.51%), it followed by hernias (12.19%), tumors (6.28%), while the rest of the reasons like volvulus, intussusception, Crohn's disease and diverticulitis were amounted (8%) of patients.
Artificial intelligence review:
Research summary
تتناول هذه الدراسة أسباب الانسدادات المعوية الميكانيكية وطرق تشخيصها عند البالغين، حيث تم تحليل بيانات 287 مريضًا بالغًا تم قبولهم في قسم الجراحة في مستشفى الأسد الجامعي باللاذقية بين يناير 2010 وأغسطس 2015. كان الهدف من البحث هو إجراء مقاربة إحصائية لأسباب الانسداد المعوي الميكانيكي حسب شيوعها وتبيان أهمية التشخيص الباكر في تحسين نتائج التدبير. أظهرت النتائج أن الالتصاقات كانت السبب الأكثر شيوعًا للانسداد المعوي الميكانيكي بنسبة 73.51%، تلتها الفتوق بنسبة 12.19%، ثم الأورام بنسبة 6.28%. كانت صورة البطن البسيطة بوضعية الوقوف هي الوسيلة التشخيصية الأكثر استخدامًا بنسبة 98%. كما أظهرت الدراسة أن التشخيص الباكر والتدخل الجراحي السريع يمكن أن يقلل من نسبة المراضة والوفيات المرتبطة بالانسداد المعوي الميكانيكي.
Critical review
تعتبر هذه الدراسة قيمة نظرًا لأنها تقدم تحليلًا شاملاً لأسباب الانسدادات المعوية الميكانيكية وطرق تشخيصها. ومع ذلك، يمكن توجيه بعض النقد البنّاء لتحسين الدراسة. أولاً، كان من الممكن تضمين عينة أكبر من المرضى لزيادة دقة النتائج. ثانيًا، لم تتناول الدراسة بشكل كافٍ الفروقات بين الجنسين في أسباب الانسداد المعوي. ثالثًا، كان من الممكن تقديم توصيات أكثر تفصيلًا حول كيفية تحسين التشخيص والعلاج في المستقبل. وأخيرًا، لم تتناول الدراسة بشكل كافٍ تأثير العوامل الاجتماعية والاقتصادية على نتائج العلاج.
Questions related to the research
-
ما هي الأسباب الأكثر شيوعًا للانسداد المعوي الميكانيكي حسب الدراسة؟
الالتصاقات بنسبة 73.51%، الفتوق بنسبة 12.19%، والأورام بنسبة 6.28%.
-
ما هي الوسيلة التشخيصية الأكثر استخدامًا في تشخيص الانسداد المعوي الميكانيكي؟
صورة البطن البسيطة بوضعية الوقوف، حيث استخدمت بنسبة 98%.
-
ما هو تأثير التشخيص الباكر على نتائج التدبير للانسداد المعوي الميكانيكي؟
التشخيص الباكر يمكن أن يقلل من نسبة المراضة والوفيات المرتبطة بالانسداد المعوي الميكانيكي.
-
ما هي الفئات العمرية الأكثر عرضة للانسداد المعوي الميكانيكي حسب الدراسة؟
الفئات العمرية من 18 إلى 50 سنة، حيث شكلت حوالي ثلثي الحالات.
References used
TAYLOR, M. R; LALANI, N. Adult small bowel obstruction. Acad Emerg Med North Am,U.S.A.Vol.225, N0.2,2013,28-44
CAPPELL, M.S; BATKE, M. Mechanical obstruction of the small bowel and colon. Med Clin North Am, U.S.A. Vol. 92,N0.3,2008, 97-575
RUBESIN,S.E; GORE, R.M. Small bowel obstruction. Textbook of gastrointestinal radiology. 4th edition, Elsevier Saunders, Philadelphia, 2015, 26-806
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